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Lung Function Test (Spirometry) at Ocean University Medical Center
425 Jack Martin Boulevard, Brick, NJ · Hackensack Meridian Health · · NPI 1477065126
$170.99
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$1,375.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$46.41 with KARNA vs $1,338.15 with AMERIHEALTH — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $46.41 | ↓ -73% |
| AMERIGROUP | MEDICARE ADVANTAGE | $156.46 | ↓ -8% |
| HORIZON | MEDICARE ADVANTAGE | $156.46 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $156.46 | ↓ -8% |
| WELLCARE | MEDICARE ADVANTAGE | $156.46 | ↓ -8% |
| VACCN | ALL PRODUCTS | $156.46 | ↓ -8% |
| WELLCARE | MANAGED MEDICAID | $156.46 | ↓ -8% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $164.28 | ↓ -4% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $170.99 | ↑ +0% |
| AETNA | MANAGED MEDICAID | $195.25 | ↑ +14% |
| UNITED HEALTHCARE | DSNP | $205.19 | ↑ +20% |
| CLOVER | MEDICARE ADVANTAGE | $247.50 | ↑ +45% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $266.75 | ↑ +56% |
| OXFORD | ALL PRODUCTS | $389.00 | ↑ +127% |
| UNITED HEALTHCARE | HMO | $623.00 | ↑ +264% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $809.88 | ↑ +374% |
| HORIZON | MANAGED MEDICAID | $817.85 | ↑ +378% |
| HORIZON | OMNIA | $895.68 | ↑ +424% |
| INTERGROUP | SHARED SAVINGS | $962.50 | ↑ +463% |
| INTERGROUP | WORKERS COMP | $962.50 | ↑ +463% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $962.50 | ↑ +463% |
| HORIZON | WORKERS COMP | $985.60 | ↑ +476% |
| BERGEN RISK | ALL PRODUCTS | $1,031.25 | ↑ +503% |
| HORIZON | PIP | $1,062.88 | ↑ +522% |
| QUALCARE | HMO | $1,068.38 | ↑ +525% |
| QUALCARE | PPO | $1,068.38 | ↑ +525% |
| HORIZON | SHP | $1,072.09 | ↑ +527% |
| AETNA | ASA | $1,076.63 | ↑ +530% |
| PRIME HEALTH | WORKERS COMP | $1,100.00 | ↑ +543% |
| PRIME HEALTH | AUTO INSURANCE | $1,100.00 | ↑ +543% |
| HORIZON | HMO | $1,106.19 | ↑ +547% |
| HORIZON | INDEMNITY | $1,119.25 | ↑ +555% |
| HORIZON | PPO | $1,135.20 | ↑ +564% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $1,168.75 | ↑ +584% |
| AMERIHEALTH | LOCAL HMO | $1,181.40 | ↑ +591% |
| QUALCARE | WORKERS COMP | $1,210.00 | ↑ +608% |
| AETNA | PPO | $1,232.96 | ↑ +621% |
| AETNA | HMO | $1,232.96 | ↑ +621% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $1,237.50 | ↑ +624% |
| CIGNA | PPO | $1,314.91 | ↑ +669% |
| CIGNA | HMO | $1,314.91 | ↑ +669% |
| AMERIHEALTH | REGIONAL HMO | $1,338.15 | ↑ +683% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Lung Function Test (Spirometry) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $173.18 | $173.18 – $1,237.50 |
| Hackensack University Medical Center | Hackensack | $184.26 | $48.73 – $5,456.00 |